Basha Ontiveros, M.S., CCC-SLP

NPI #1629083423 in Bloomington, Illinois

Provider Information

NPI Number
1629083423
Entity Type
Individual
Name
Basha Ontiveros, M.S., CCC-SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
M.S., CCC-SLP
Enumeration Date
Jul 30, 2006
Last Updated
Aug 22, 2022

Practice Location

Address
2416 E WASHINGTON ST STE C5
ZIP Code
61704-1629
Phone
(913) 730-5925

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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